Asian Journal of Nursing Education and Research

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An Evidence-Based Nursing Care Guide for Critically Ill Patients With COVID-19: A Scoping Review


Affiliations
1 National Institute of Nursing Education, India
2 College of Nursing, AIIMS, Bhubaneswar, India
3 College of Nursing, India
4 Dept. of Anesthesia, AIIMS, New Delhi, India
5 Dept. of Anesthesia and Intensive Care, India
6 Dept. of Neurosurgery, PGIMER, Chandigarh, India
     

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Background: Nursing care plays a vital role in critically ill patients’ recovery process and outcome with COVID-19. Though there is a tremendous surge in COVID-19 literature, there is no comprehensive documentation of nursing aspects.Objective: To develop nursing care standards for critically ill patients with COVID-19. Methodology: To prepare this scoping review, a detailed literature review was done by the experts and trainers involved in the critical care of patients with COVID-19 from India’s premier institutes. Results: Rapidly progressing hypoxemia with respiratory failure induced by COVID-19 in critically ill patients poses a management challenge. Patients of COVID-19 progressing to critical stage must be identified early, and appropriate management initiated while taking all the specific measures to prevent infection to the healthcare providers. The essential components of critically ill patients’ nursing care include constant monitoring and maintenance of ventilation, oxygenation, fluid volume/hemodynamic status, and shock prevention. The other adjunctive measures include meeting the nutritional demands, prevention, early identification of complications, timely initiation of rehabilitation, and personal and environmental hygiene. Ensuring the safety of the healthcare providers with adequate PPE and infection control measures is of utmost importance while caring for the patients of COVID-19. Conclusion: The nursing interventions must be tailored vigilantly for the individual patient. The evidence is evolving, and the nursing care strategies discussed in this article based on existing evidence may guide the nurses and healthcare providers in managing critically ill patients of COVID-19.

Keywords

Pandemic, COVID-19, Coronavirus Infection, Sars-Cov-2, Nursing, Critical Care, Epidemiology, Acute Complications, Diagnosis, Prevention and Control, Physiotherapy.
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  • An Evidence-Based Nursing Care Guide for Critically Ill Patients With COVID-19: A Scoping Review

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Authors

Manju Dhandapani
National Institute of Nursing Education, India
V. R. Vijay
College of Nursing, AIIMS, Bhubaneswar, India
Nadiya Krishnan
College of Nursing, AIIMS, Bhubaneswar, India
Lakshmanan Gopichandran
College of Nursing, India
Alwin Issac
College of Nursing, AIIMS, Bhubaneswar, India
Shine Stephen
College of Nursing, AIIMS, Bhubaneswar, India
Jaison Jacob
College of Nursing, AIIMS, Bhubaneswar, India
Thilaka
Dept. of Anesthesia, AIIMS, New Delhi, India
Lakshmi Narayana Yaddanapudi
Dept. of Anesthesia and Intensive Care, India
Sivashanmugam Dhandapani
Dept. of Neurosurgery, PGIMER, Chandigarh, India

Abstract


Background: Nursing care plays a vital role in critically ill patients’ recovery process and outcome with COVID-19. Though there is a tremendous surge in COVID-19 literature, there is no comprehensive documentation of nursing aspects.Objective: To develop nursing care standards for critically ill patients with COVID-19. Methodology: To prepare this scoping review, a detailed literature review was done by the experts and trainers involved in the critical care of patients with COVID-19 from India’s premier institutes. Results: Rapidly progressing hypoxemia with respiratory failure induced by COVID-19 in critically ill patients poses a management challenge. Patients of COVID-19 progressing to critical stage must be identified early, and appropriate management initiated while taking all the specific measures to prevent infection to the healthcare providers. The essential components of critically ill patients’ nursing care include constant monitoring and maintenance of ventilation, oxygenation, fluid volume/hemodynamic status, and shock prevention. The other adjunctive measures include meeting the nutritional demands, prevention, early identification of complications, timely initiation of rehabilitation, and personal and environmental hygiene. Ensuring the safety of the healthcare providers with adequate PPE and infection control measures is of utmost importance while caring for the patients of COVID-19. Conclusion: The nursing interventions must be tailored vigilantly for the individual patient. The evidence is evolving, and the nursing care strategies discussed in this article based on existing evidence may guide the nurses and healthcare providers in managing critically ill patients of COVID-19.

Keywords


Pandemic, COVID-19, Coronavirus Infection, Sars-Cov-2, Nursing, Critical Care, Epidemiology, Acute Complications, Diagnosis, Prevention and Control, Physiotherapy.

References